Amy B Anderson, MSW is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. Her current practice location is
4109 67th St, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 652-9830.
Amy B Anderson is licensed to practice in Wisconsin (license number 969-123) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1295766186.
Healthcare Provider's Profile
| Full Name | Amy B Anderson |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 4109 67th St, Kenosha, Wisconsin |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amy B Anderson attended and graduated from in
NPI Data:
- NPI Number: 1295766186
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 11/25/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Amy B Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295766186 | NPI | - | NPPES |
| 39638800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2045 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 969-123 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 149-005163 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy B Anderson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amy B Anderson, MSW
4109 67th St,
Kenosha, WI 53142-3836
Ph: (262) 652-9830 | Amy B Anderson, MSW
4109 67th St,
Kenosha, WI 53142-3836
Ph: (262) 652-9830 |
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